Table 2 Pediatric caudal epidural block practices reported by the anesthesiologists.
From: A multicenter survey of pediatric caudal epidural anesthesia practices in resource-limited settings
# | Item | n | % |
|---|---|---|---|
1 | The devices used to access epidural space | ||
Needles | |||
Hollow needle, non-specified | 157 | 96.9 | |
Stylleted needle | 2 | 1.2 | |
Tuohy needle | 2 | 1.2 | |
Butterfly needle | 1 | 0.6 | |
Catheters, non-specified | 162 | 100.0 | |
2 | The gauge sizes | ||
18G | 8 | 4.9 | |
20G | 12 | 7.4 | |
22G | 122 | 75.3 | |
24G | 24 | 14.8 | |
3 | The method used for ensuring accurate placement of needles, catheters, local anesthetics, additives, and adjuncts in the epidural space | ||
Aspiration before injection | 104 | 64.2 | |
Needle passage through the sacrococcygeal ligament | 68 | 42.0 | |
Ease of cannula advancement into the caudal epidural space | 57 | 35.2 | |
Injection of local anesthetic into caudal epidural space | 46 | 28.4 | |
Air injection into caudal epidural space | 46 | 28.4 | |
Saline injection into caudal epidural space | 31 | 19.1 | |
Swoosh test | 10 | 6.2 | |
Ultrasound imaging | 5 | 3.1 | |
4 | Local anesthetics used | ||
Bupivacaine | 148 | 91.4 | |
Lignocaine/lidocaine | 26 | 16.0 | |
Ropivacaine | 6 | 3.7 | |
Levobupivacaine | 1 | 0.6 | |
5 | Additives and adjuncts | ||
Ketamine | 151 | 93.2 | |
Opioids | 96 | 59.3 | |
Midazolam | 7 | 4.3 | |
Dexamethasone | 6 | 3.7 | |
Clonidine | 3 | 1.9 | |
6 | The upper age limit for the usage of caudal epidural anesthesia in children | ||
3 months | 2 | 1.2 | |
6 months | 2 | 1.2 | |
1 year | 7 | 4.3 | |
2 years | 14 | 8.6 | |
3 years | 9 | 5.6 | |
4 years | 82 | 50.6 | |
5 years | 2 | 1.2 | |
6 years | 4 | 2.5 | |
7 years | 1 | 0.6 | |
8 years | 1 | 0.6 | |
10 years | 8 | 4.9 | |
12 years | 1 | 0.6 | |
13 years | 2 | 1.2 | |
14 years | 1 | 0.6 | |
15 years | 1 | 0.6 | |
No Limit | 25 | 15.4 | |
7 | The maximum duration the anesthesiologist leaves the catheter in situ | ||
< 12 h | 99 | 61.1 | |
Up to 24 h | 60 | 37.0 | |
Up to 36 h | 3 | 1.9 | |
8 | The methods used to provide asepsis for single-shot caudal epidural | ||
Gloves, gowns, and masks | 93 | 57.4 | |
Gloves only | 61 | 37.7 | |
No touch technique | 4 | 2.5 | |
Gloves and masks | 5 | 3.1 | |
Scrubbing the site of insertion with chlorhexidine | 2 | 1.2 |